Individual provider Active NPI

Erica Rabe, MD

  • Family Medicine Physician
  • San Angelo, TX
National Provider Identifier
1215420286
Registry record updated Aug 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
T9059 Issued in TX
Practice address
220 E Harris
San Angelo, TX 76903-5841
Phone
(325) 481-2000
Fax
(325) 481-2163
NPI assigned
Jun 13, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X T9059 TX Primary

Addresses

Primary practice location

220 E Harris
San Angelo, TX 76903-5841

Mailing address

220 E Harris
San Angelo, TX 76903-5841

Other names 1

  • Erica Borrego Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220909000065 TX Practitioner - Family Practice 6406107234 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Texas Tech University Health Science Center School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Shannon ClinicGroup PAC ID 0840103727, 550 clinicians
The West Texas Rehabilitation CenterGroup PAC ID 2860301215, shared by 5 NPIs, 444 clinicians

Practice addresses (Care Compare)

220 E Harris Ave
San Angelo, TX 76903-5906
Phone (325) 747-1511

4601 Hartford St
Abilene, TX 79605-4603
Phone (325) 793-3411

Hospital & facility affiliations

  • Shannon Home Health Services Home health agency, San Angelo, TX, CCN 457646
  • Enhabit Home Health Home health agency, Abilene, TX, CCN 679184
  • Country Home Health Home health agency, San Angelo, TX, CCN 679469
  • Gentiva Hospice, San Angelo, TX, CCN 451697
  • Shannon Medical Center Hospital, San Angelo, TX, CCN 450571

Merit-based Incentive Payment System (MIPS)

Final score
82.63 of 100Reported as group
Quality
78.21
Promoting interoperability
96
Improvement activities
40
Cost
67.22

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
T9059TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Shannon Clinic Family Medicine CurrentSince Aug 15, 2022 Accepting new patients
Texas Tech University Health Sciences Center Lubbock Past Accepting new patients
Shannon Medical Center Past Accepting new patients

Locations

220 E Harris Ave
San Angelo, TX 76903
Phone (325) 481-2000

120 E Beauregard Ave
San Angelo, TX 76903
Phone (915) 658-1511

Interoperability endpoints

  • Direct secure messaging: eborrego50333@shannonhealth.direct-ci.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1528848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693440000000",
    "number": "1215420286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 E HARRIS",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769035841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 E HARRIS",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769035841",
            "telephone_number": "325-481-2000",
            "fax_number": "325-481-2163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RABE",
        "first_name": "ERICA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-13",
        "last_updated": "2023-08-31",
        "certification_date": "2023-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "T9059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERICA",
            "last_name": "BORREGO",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Angelo, TX

Sources for this page

Verify at the official NPI Registry.